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JOSE A. HERNANDEZ MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1942220660
Individual Registrant: JOSE A. HERNANDEZ MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
450 S MAIN ST SUITE 1 LABELLE, FL 33935-4629 US
Tel: 863-675-2356 Fax: 863-675-2407
Tel: 863-675-2356 Fax: 863-675-2407
Contact information for business:
450 S MAIN ST SUITE 1 LABELLE, FL 33935-4629 US
Tel: 863-675-2356 Fax: 863-675-2407
Tel: 863-675-2356 Fax: 863-675-2407
Registration Information:
NPI: 1942220660
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | FL | ME65951 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 008697900 | FL | 05 |
